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Parity and Duration of Labor Affects the Risk of Urinary Retention in post C-Section Patients ( Paritas dan Lama Persalinan mempengaruhi Risiko Retensi Urin pada Pasien Pasca Seksio Sesarea)

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Abstract
Objective: To determine the rate of urinary retention cases and con¬tributing risk factors in Department of Obstetrics and Gynecology Dr. Mohammad Hoesin Hospital (RSMH), Palembang.

Methods: The study conducted on 111 patients who met our study criteria. After CS, urinary catheter were inserted for 24 hours, and then it was opened for 6 hour, after that patients were asked to uri¬nate spontaneously, then we examined the residual urine volume with tTansvaginal ultrasound. If residual urine volume post CS was >200 ml, it categorized as urinary retention.

Result: During the follow up we found that the rate of urinary reten¬tion after CS was 3.6% (4 subject). All subject has a covert urinary retention. Factors contribute to post CS urinary retention was dura¬tion of labor and parity. The mean of labor duration in group with urinary retention is 8.75±13.04 hour, and 7.55±7.28 hour in the nor¬mal group (p = 0.003 RP= 106.00 CI 95%= 6.587-1705.778). All case with urinary retention were primipara (p = 0.045).

Conclusion: Our study found that the rate of post CS urinary reten¬tion was 3.6%. Risk factors for post CS urinary retention were dura¬tion of labor more than 24 hours and primipara. [lndones J Obstet Gynecol 2013; 37-1: 46-50]

Keyword: caesarean section, residual urine, urinary retention

Objective: To determine the rate of urinary retention cases and con¬tributing risk factors in Department of Obstetrics and Gynecology Dr. Mohammad Hoesin Hospital (RSMH), Palembang.

Methods: The study conducted on 111 patients who met our study criteria. After CS, urinary catheter were inserted for 24 hours, and then it was opened for 6 hour, after that patients were asked to uri¬nate spontaneously, then we examined the residual urine volume with tTansvaginal ultrasound. If residual urine volume post CS was >200 ml, it categorized as urinary retention.

Result: During the follow up we found that the rate of urinary reten¬tion after CS was 3.6% (4 subject). All subject has a covert urinary retention. Factors contribute to post CS urinary retention was dura¬tion of labor and parity. The mean of labor duration in group with urinary retention is 8.75±13.04 hour, and 7.55±7.28 hour in the nor¬mal group (p = 0.003 RP= 106.00 CI 95%= 6.587-1705.778). All case with urinary retention were primipara (p = 0.045).

Conclusion: Our study found that the rate of post CS urinary reten¬tion was 3.6%. Risk factors for post CS urinary retention were dura¬tion of labor more than 24 hours and primipara. [lndones J Obstet Gynecol 2013; 37-1: 46-50]

Keyword: caesarean section, residual urine, urinary retention

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Indonesian Journal of Obstetrict and Gynecology, 3

Publisher

Jakarta : Indonesian Society of Obstetetrict and Gynecology., 2013

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5p

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2338-6401

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